A Single-Centre Experience Study in Percutaneous Nephrolithotomy (PCNL) at Al-Safeer Surgical Specialized Hospital

To evaluate our gained experience in PCNL surgery and its effectiveness in treated various cases with renal stones.

A retrospective study compromise 3146 patients underwent PCNL in single center of surgical hospital from 1st January 2013 to 1st January 2018. Aquestionnaire was used to collected data. Surgical and postsurgical parameters were reported.

Patient's gender male 56.4%, female 43.6%. PCNL done on 47.9% right sides, 50.5% left and 1.6% bilatera l.71.4% were opaque stones. 9.1% of patients were Pediatrics, 86.8% adult's and 4.1% Geriatrics. Mean Stone measures (mm)32.9±15.3. Mean operative time (mints) 36.5±17.2. Mean Hospitalization (days) 1.5±0.8. The entrance approach to kidney: upper 64.7%, lower 20.50%, middle 10.70% and multiple in 4.13%. The stone free rate were 96.9%. Intraoperative complication were: Bleeding 0.8%, Pleural injury 1%, and Bowel injury 0.1%. Postoperative complication: Sepsis 1.3% and transient impairment of renal function 0.3%.

Forlarge kidney and upper ureteral stones PCNL is effective procedure with minimal morbidity even in the presence of anatomical variation and experience play important role for good results.